keyword
https://read.qxmd.com/read/38508856/what-contributes-to-promote-sexual-health-in-cancer-palliative-care-a-realist-review
#21
JOURNAL ARTICLE
Donz Roxane, Russia Bruno, Barbaret Cécile, Debbie Braybrook, Perceau-Chambard Elise, Reverdy Thibaut, Economos Guillaume
INTRODUCTION: Sexuality is an important determinant of the overall health of a population and remains so at the end of life and in patients with advanced cancers. Despite the abundant literature on sexuality and intimacy, these topics have been rarely discussed in the context of cancer palliative care, and very few interventions to promote sexual health in patients undergoing cancer palliative care have been explored. OBJECTIVES: In this study we sought to identify which factors and mechanisms contribute to promoting sexual health in cancer palliative care...
March 20, 2024: Sexual Medicine Reviews
https://read.qxmd.com/read/38508024/experiences-of-nursing-students-providing-end-of-life-care-for-children-and-young-people-a-focus-group-study
#22
JOURNAL ARTICLE
Claire Camara, Leah Rosengarten, Jane Callum
BACKGROUND: End of life care for Children and Young People (CYP) is known to be an emotive area of practice. Previous studies involving qualified nurses have demonstrated that nurses feel they need more end-of-life care education, as well as a platform for sharing experiences and discussing them with others. Evidence relating to nursing students remains limited despite being widely acknowledged as a difficult aspect of nursing education. AIMS: This study aims to help improve understanding of the lived experiences of children's nursing students who have cared for a patient at, during, or immediately following end-of-life...
February 27, 2024: Nurse Education Today
https://read.qxmd.com/read/38506361/-fetal-lacerations-during-cesarean-section-an-inevitable-complication
#23
JOURNAL ARTICLE
David Rabinerson, Daniel Nasi, Adi Borovitch
Cesarean section is the most prevalent in obstetrics and its rate is rising worldwide every year. Although this operation is considered safe, it is not free from complications. In the present review the topic of lacerations in the fetus during cesarean section is discussed. The rate of fetal lacerations during cesarean section is 0.79-1.9% of all cesareans. Several risk factors for this complication have been elaborated in the literature and are presented in this review. However, so far there is no proven method or technique that has been proven effective in the prevention of this complication...
March 2024: Harefuah
https://read.qxmd.com/read/38504823/ethnographic-closeness-methodological-reflections-on-the-interplay-of-engagement-and-detachment-in-immersive-ethnographic-research
#24
JOURNAL ARTICLE
Caitlin Pilbeam, Trisha Greenhalgh, Caroline M Potter
With the reflexive turn in the social sciences, emotional engagement is an inevitable and crucial part of data-gathering and analysis. However, there is a glaring gap in methodological discussions to this end. Presenting ethnographic research into end of life with people living at home in England with heart failure, we argue for a methodological blend of engagement and detachment that shifts throughout the research process, and that sensory experience is a core part of engagement. We offer ethnographic examples which present and explore some alternatives to emotional engagement and objective detachment: (1) moving with participants to facilitate engagement during fieldwork through shared sensory experience; (2) detachment as a different way of relating when exiting the field and drawing participant relationships to a close; and (3) ethnographic closeness as the interplay of engagement and detachment in participant debriefing and data analysis...
December 2023: Journal of the Royal Anthropological Institute
https://read.qxmd.com/read/38504215/integrating-palliative-care-education-in-pulmonary-rehabilitation-a-randomized-controlled-study-protocol
#25
JOURNAL ARTICLE
M Aurora Mendes, Daisy J A Janssen, Alda Marques
BACKGROUND: Palliative care addresses multiple unmet needs of people with chronic obstructive pulmonary disease (COPD) or interstitial lung diseases (ILD) and their family and/or friend caregivers, but it remains highly underused. Pulmonary rehabilitation (PR) may provide a key opportunity to introduce palliative care. We aim to explore the effects of palliative care education as part of PR on knowledge about this field in people with COPD or ILD and their family and/or friend caregivers...
March 20, 2024: BMC Palliative Care
https://read.qxmd.com/read/38495919/impact-of-ai-powered-solutions-in-rehabilitation-process-recent-improvements-and-future-trends
#26
REVIEW
Umamah Bint Khalid, Muddasar Naeem, Fabrizio Stasolla, Madiha Haider Syed, Musarat Abbas, Antonio Coronato
Rehabilitation is an important and necessary part of local and global healthcare services along with treatment and palliative care, prevention of disease, and promotion of good health. The rehabilitation process helps older and young adults even children to become as independent as possible in activities of daily life and enables participation in useful living activities, recreation, work, and education. The technology of Artificial Intelligence (AI) has evolved significantly in recent years. Many activities related to rehabilitation have been getting benefits from using AI techniques...
2024: International Journal of General Medicine
https://read.qxmd.com/read/38493390/youth-perspectives-and-experiences-with-menstruation-and-period-poverty
#27
JOURNAL ARTICLE
Clara Wolff, Marika Waselewski, Xochitl Amaro, Chichi Amanze, Abby Frank, Tammy Chang
PURPOSE: Period poverty is the lack of accessible menstrual education or menstrual tools. Millions of women and girls around the world experience period poverty, which can contribute to disparities in school and work performance, as well as overall quality of life. However, not much is known about youth experiences and perceptions of period poverty. This study aims to understand the personal experiences and opinions of American youth regarding knowledge about menstruation and period poverty, as well as to gauge youth attitudes of existing and future period poverty initiatives...
March 15, 2024: Journal of Adolescent Health
https://read.qxmd.com/read/38492423/beach-wrack-discussing-ecological-roles-risks-and-sustainable-bioenergy-and-agricultural-applications
#28
REVIEW
Maria Martins, Filipa Sousa, Cristiano Soares, Bruno Sousa, Ruth Pereira, Marcos Rubal, Fernanda Fidalgo
The equilibrium of the marine ecosystem is currently threatened by several constraints, among which climate change and anthropogenic activities stand out. Indeed, these factors favour the growth of macroalgae, which sometimes end up stranded on the beaches at the end of their life cycle, forming what is known as beach wrack. Despite its undeniable important ecological role on beaches, as it is an important source of organic matter (OM), and provides food and habitat for several invertebrates, reptiles, small mammals, and shorebirds, the overaccumulation of beach wrack is often associated with the release of greenhouse gases, negatively impacting tourist activities, and generating economic expenses for its removal...
March 15, 2024: Journal of Environmental Management
https://read.qxmd.com/read/38490796/barriers-to-initiate-a-discussion-about-advance-care-planning-among-older-taiwanese-residents-of-nursing-homes-and-their-families-a-qualitative-study
#29
JOURNAL ARTICLE
Hsin-Tzu Sophie Lee, Chia-Ling Yang, Sei-Ven Leu, Wen-Yu Hu
BACKGROUND: In Taiwan, the Patients' Right to Autonomy Act was enacted in 2019. However, advance care planning (ACP) implementation rates remain low in long-term care facilities. AIM: This study explored the barriers to initiate a discussion about ACP among older Taiwanese residents of nursing homes and their families. METHODS: A descriptive qualitative design was used. Face-to-face interviews were individually conducted with 38 participants (residents: 18; family members: 20), and data were analyzed through content analysis...
February 2024: Applied Nursing Research: ANR
https://read.qxmd.com/read/38479802/multiple-structural-flavors-of-rnase-p-in-precursor-trna-processing
#30
REVIEW
Sagar Sridhara
The precursor transfer RNAs (pre-tRNAs) require extensive processing to generate mature tRNAs possessing proper fold, structural stability, and functionality required to sustain cellular viability. The road to tRNA maturation follows an ordered process: 5'-processing, 3'-processing, modifications at specific sites, if any, and 3'-CCA addition before aminoacylation and recruitment to the cellular protein synthesis machinery. Ribonuclease P (RNase P) is a universally conserved endonuclease in all domains of life, performing the hydrolysis of pre-tRNA sequences at the 5' end by the removal of phosphodiester linkages between nucleotides at position -1 and +1...
2024: Wiley Interdisciplinary Reviews. RNA
https://read.qxmd.com/read/38478797/palliative-and-end-of-life-care-in-hematologic-malignancies-progress-and-opportunities
#31
EDITORIAL
Mazie Tsang, Thomas W LeBlanc
@JCOOP_ASCO editorial on unique needs of end-of-life care for different blood cancers discusses: #pallheme improves QOL but less utilized in cancers. Contextualize Weisse et al study. More #pallheme research needed for lymphoma and myeloma in era of cell therapy.
March 13, 2024: JCO oncology practice
https://read.qxmd.com/read/38476165/solid-organ-transplantation-and-gut-microbiota-a-review-of-the-potential-immunomodulatory-properties-of-short-chain-fatty-acids-in-graft-maintenance
#32
REVIEW
Manon Jardou, Clarisse Brossier, Pierre Marquet, Nicolas Picard, Anne Druilhe, Roland Lawson
Transplantation is the treatment of choice for several end-stage organ defects: it considerably improves patient survival and quality of life. However, post-transplant recipients may experience episodes of rejection that can favor or ultimately lead to graft loss. Graft maintenance requires a complex and life-long immunosuppressive treatment. Different immunosuppressive drugs ( i.e. , calcineurin inhibitors, glucocorticoids, biological immunosuppressive agents, mammalian target of rapamycin inhibitors, and antiproliferative or antimetabolic agents) are used in combination to mitigate the immune response against the allograft...
2024: Frontiers in Cellular and Infection Microbiology
https://read.qxmd.com/read/38475858/immune-modulation-in-malignant-pleural-effusion-from-microenvironment-to-therapeutic-implications
#33
REVIEW
Shan Ge, Yuwei Zhao, Jun Liang, Zhongning He, Kai Li, Guanghui Zhang, Baojin Hua, Honggang Zheng, Qiujun Guo, Runzhi Qi, Zhan Shi
Immune microenvironment and immunotherapy have become the focus and frontier of tumor research, and the immune checkpoint inhibitors has provided novel strategies for tumor treatment. Malignant pleural effusion (MPE) is a common end-stage manifestation of lung cancer, malignant pleural mesothelioma and other thoracic malignancies, which is invasive and often accompanied by poor prognosis, affecting the quality of life of affected patients. Currently, clinical therapy for MPE is limited to pleural puncture, pleural fixation, catheter drainage, and other palliative therapies...
March 12, 2024: Cancer Cell International
https://read.qxmd.com/read/38473913/hemochromatosis-ferroptosis-ros-gut-microbiome-and-clinical-challenges-with-alcohol-as-confounding-variable
#34
REVIEW
Rolf Teschke
Hemochromatosis represents clinically one of the most important genetic storage diseases of the liver caused by iron overload, which is to be differentiated from hepatic iron overload due to excessive iron release from erythrocytes in patients with genetic hemolytic disorders. This disorder is under recent mechanistic discussion regarding ferroptosis, reactive oxygen species (ROS), the gut microbiome, and alcohol abuse as a risk factor, which are all topics of this review article. Triggered by released intracellular free iron from ferritin via the autophagic process of ferritinophagy, ferroptosis is involved in hemochromatosis as a specific form of iron-dependent regulated cell death...
February 25, 2024: International Journal of Molecular Sciences
https://read.qxmd.com/read/38468076/exercising-medical-judgement-resuscitation-and-decision-making-for-end-of-life%C3%A2-care-a-new-policy-from-the-college-of-physician-and-surgeons-of-ontario
#35
JOURNAL ARTICLE
Henry Ajzenberg, Eoin Connolly, Kathryn Morrison, Simon Oczkowski
In March 2023, the College of Physicians and Surgeons of Ontario (CPSO) updated their policy entitled Decision-Making for End-of-Life Care. This policy will significantly change the landscape and clinical practice in Canada's most populous province with respect to decision-making for resuscitation. The update interrupts approximately eight years of CPSO policy that has mandated physicians to perform cardiopulmonary resuscitation (CPR) and other resuscitative measures unless they can explicitly obtain consent in the form of a do-not-resuscitate or no-CPR order...
March 11, 2024: Canadian Journal of Anaesthesia
https://read.qxmd.com/read/38467115/facing-the-unknown-an-inductive-analysis-of-the-lived-experience-of-medical-residents-during-the-covid-19-pandemic
#36
JOURNAL ARTICLE
Flávio Guimarães-Fernandes, Laelia Benoit, Luiza Magalhães de Oliveira, Paulo Chenaud Neto, Débora Chou Feniman, Aline Villalobo Correia, Nathaly de Oliveira Bosoni, Daniela Medina Macaya, Euripedes Constantino Miguel, Daniela Ceron-Litvoc, Gustavo Bonini Castellana
INTRODUCTION: The COVID-19 pandemic had significant repercussions for the everyday life and public health of society. Healthcare professionals were particularly vulnerable. Here, we interviewed medical residents about their lived experiences during the pandemic to offer a phenomenological analysis. To this end, we discuss their pandemic experiences considering Jaspers' "limit situation" concept - that is, a radical shift from their everyday experiences, to one causing them to question the basis of their very existence...
March 11, 2024: Psychopathology
https://read.qxmd.com/read/38462940/narrative-review-what-constitutes-contemporary-high-quality-end-of-life-care-and-can-lessons-be-learned-from-medieval-history
#37
JOURNAL ARTICLE
Carole A Paley, Ash T Paley, Lucy E Ziegler, Eloise C Kane, Iona McCleery, Emma J Chapman
BACKGROUND AND OBJECTIVE: In modern Britain, palliative and end-of-life care is governed by quality standards and guidance, which should consider spiritual and psychological needs. However, there are significant gaps in provision of services which was highlighted during the coronavirus disease 2019 (COVID-19) pandemic where many individuals and families suffered profound spiritual and existential distress. Significant gaps remain in the provision of services to support patients with spiritual and psychological needs which can affect the management of physical symptoms...
March 7, 2024: Annals of Palliative Medicine
https://read.qxmd.com/read/38462933/the-role-of-palliative-care-for-patients-with-left-ventricular-assist-devices-a-narrative-review
#38
JOURNAL ARTICLE
Badr Abdullah, Richa Gupta, Kelley M Anderson, Keki Balsara, Farooq H Sheikh, Hunter Groninger, Anirudh Rao
BACKGROUND AND OBJECTIVE: Left ventricular assist devices (LVADs) have revolutionized the care of patients with advanced heart failure (HF). Compared to guideline-directed medical and device therapies, LVAD technology improves quality of life and reduces mortality. Palliative care specialists have an important role to play in the pre-LVAD evaluation phase, in the post-operative longitudinal care phase, and at the endof-life in patients with LVADs. The objective of this narrative review is to describe the evidence regarding the role of palliative care for patients with LVAD across the care continuum: pre-implantation, postimplantation, and at the end-of-life...
February 27, 2024: Annals of Palliative Medicine
https://read.qxmd.com/read/38462230/high-intensity-care-for-nursing-home-residents-with-severe-dementia-hospitalized-at-the-end-of-life-a-mixed-methods-study
#39
JOURNAL ARTICLE
Andrew B Cohen, William M McDonald, John R O'Leary, Zehra B Omer, Terri R Fried
OBJECTIVE: For nursing home residents with severe dementia, high-intensity medical treatment offers little possibility of benefit but has the potential to cause significant distress. Nevertheless, mechanical ventilation and intensive care unit (ICU) transfers have increased in this population. We sought to understand how and why such care is occurring. DESIGN: Mixed methods study, with retrospective collection of qualitative and quantitative data. SETTING: Department of Veterans Affairs (VA) hospitals...
March 7, 2024: Journal of the American Medical Directors Association
https://read.qxmd.com/read/38461102/fragility-fracture-network-japan-the-challenge-of-establishment-of-a-national-hip-fracture-database-and-successful-achievement-of-nationwide-health-system-change-for-hip-fracture-care-in-japan
#40
JOURNAL ARTICLE
Noriaki Yamamoto, Takeshi Sawaguchi, Takashi Matsushita, Narutaka Katoh, Hidenori Arai, Masahiro Shirahama, Naoto Endo, Hiroshi Hagino, Satoshi Mori, Tamio Teramoto, Masashi Ookuro, Mineko Hiraoka, Hideaki E Takahashi
BACKGROUND: In April 2022, a new reimbursement scheme for hip fracture was implemented by the Japanese health ministry. Japan is one of the world's most aged societies, facing a significant, rapidly growing burden of osteoporosis and fragility fractures. The incidence of hip fractures is projected to increase from 240,000 in 2020 to 320,000 by 2040. In 2015, Fragility Fracture Network-Japan (FFN-Japan) was formally established as a nonprofit organization in order to create the optimal fragility fracture care system in Japan...
March 2, 2024: Injury
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